摘要
更合理选择治疗门脉高压食管静脉曲张出血的方法。方法:采用脾动脉栓塞术20例(第1组)、生长抑素8肽(善得定)静脉滴注25例(第2组)和垂体后叶素静脉滴注22例(第3组)治疗门脉高压食管静脉曲张出血(EVB)进行疗效对比。结果:第1、2、3组的即时止血率和1月内再出血率分别为95％、96.0％、40.9％和10.0％、48.0％、50％。即时止血率第1组明显优于第3组(P<0.01),而与第2组相近(P<0.05);一月内再次出血率第1组明显优于第2组(P<0.01)和第3组(P<0.01)。结论:脾动脉栓塞术治疗EVB疗效确切,并能减少再次出血。
Background/Aims: To choose reasonable therapies of esophageal variceal bleeding (EVB) of portal hypertension. Methods: 67 cases of EVB were treated by 20 splenic artery embolisation (group 1). 25 intravenous infusion of Octreotide(Sandostatin) (group 2) and 22 intravenous infusion of pituitrin (group 3) and their hemostatic effect were analysed and compared each other. Results: The immediate hemostatic rate and rebleeding during one month of groups 1,2,3 are 95%,96%,40.0% and 10%,48%,50%, respectively. The immediate hemostatic rate of group 1 is higher than that of group 3 (P<0.01), and is similar as that of group 2 (P>0.05). The rebleeding rate of group 1 is lower than that of group 2 and 3 (P<0. 01 and P<0.01) during one month. Conclusions: The results suggest that effect of splenic artery embolisation is proved and it decrease the rebleeding of EVB.
出处
《外科》
1997年第3期160-161,共2页
关键词
脾动脉栓塞
门静脉庙坟
食管静脉曲张
出血
Splenic artery embolizagion Sandostatin Pituitrin Portal hypertension
